This document discusses arterial catheterization and subclavian central venous catheter placement. It describes the anatomy and landmarks for subclavian catheterization. For arterial catheterization, it lists objectives, indications, contraindications, complications, and appropriate sites for insertion. The potential sites covered are radial, ulnar, axillary, dorsalis pedis, posterior tibial, and femoral arteries. Steps for arterial catheter placement and pressure monitoring are also outlined. The importance of removing catheters that cannot be used for pressure monitoring is emphasized.
One test can save your life. Know what a CTA Neck Carotid is, why you should have it, who should get it, and where can you get tested as well as get your results fast. If you want to read more about CTA Neck Carotid, just click the link below.
Visit: https://www.labfinder.com/labexams/cta-neck-carotid/ and get tested now!
One test can save your life. Know what a CTA Neck Carotid is, why you should have it, who should get it, and where can you get tested as well as get your results fast. If you want to read more about CTA Neck Carotid, just click the link below.
Visit: https://www.labfinder.com/labexams/cta-neck-carotid/ and get tested now!
Cardiology is an element of internal medicine. A classification of medicine ranging from congenital defects to acquired heart diseases such as coronary artery disease & congestive heart failure,Carotid angioplasty is basically a surgical procedure which is designed to open clogged arteries so as to treat or prevent strokes. Carotid arteries are located on either sides of the neck & are the main arteries which supply blood to the brain.
For more info visit: goo.gl/j3MCEH
Cathlab procedures, it's contains what are the procedure doing in the cathla...jagan _jaggi
Cath lab is an examination room in a hospital or clinic with diagnostic imaging equipment used to visualize the arteries of the heart and the chambers of the heart and treat any stenosis or abnormality found.
Cardiology is an element of internal medicine. A classification of medicine ranging from congenital defects to acquired heart diseases such as coronary artery disease & congestive heart failure,Carotid angioplasty is basically a surgical procedure which is designed to open clogged arteries so as to treat or prevent strokes. Carotid arteries are located on either sides of the neck & are the main arteries which supply blood to the brain.
For more info visit: goo.gl/j3MCEH
Cathlab procedures, it's contains what are the procedure doing in the cathla...jagan _jaggi
Cath lab is an examination room in a hospital or clinic with diagnostic imaging equipment used to visualize the arteries of the heart and the chambers of the heart and treat any stenosis or abnormality found.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
4. Objectives
•By the end of this workshop, the learner will:
‐ Describe the anatomic landmarks used to guide arterial
catheterization at specified sites of insertion
‐ List at least 3 indications and 3 contraindications for arterial
catheterization
‐ List at least 5 complications associated with arterial
catheterization common to all sites of insertion
‐ Identify the potential sites for arterial vascular catheterization
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5. Objectives
•Choose the appropriate sized vascular catheter according
to the patient’s size
•Perform the steps for prepping and draping a site prior to
arterial catheterization
•Execute the proper sequence in the placement of arterial
catheterization according to an itemized checklist
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11. Radial
•Most common site
•Lies in longitudinal
groove formed by FCRM
and distal radius
•Check for collateral flow
•Thrombosis is common
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12. Axillary
•Large artery
•Excellent collateral flow
•Air/thrombus embolism
can cause brain/hand
ischemia
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13. Femoral
•Also large artery
•May still be palpable
with marked
hypotension
•Lack of collateral flow
•Air/thrombus embolism
can cause foot/toe
ischemia
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14. Dorsalis pedis
•Descends down dorsum
of foot parallel & lateral
to EHLT
•Check for collateral flow
‐ Occlude artery
‐ Blanch great toe for several
seconds
‐ Release pressure &
observe for flushing
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16. •Confirm via pressure transduction
•Tubing used for pressure monitoring should include
a Luer-lock design
•Papaverine-containing heparin solution prolongs
arterial catheter life
•If you cannot transduce……
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17. TAKE IT OUT!
TAKE IT OUT!!
TAKE IT OUT!!!
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xxx00.#####.ppt 07/10/12 03:53 PM P. Text Text Text Text
Supine trendelenburg (30) minimizes risk of air embolism extension of neck and rolled towel along axis of T-spine head in neutral position or slt flexion and turned towards puncture site On mech vent, someone holds pt in exp hold xxx00.#####.ppt 07/10/12 P.
xxx00.#####.ppt 07/10/12 03:53 PM P. Text Text Text Text
Thrombosis and emboli can lead to ischemia and necrosis but is dependent on adequacy of collateral flow Thrombosis longer duration and size of cath relative to arterial lumen diameter leads to greater incidence of thrombosis. Also increased incidence w/repeated punctures and intermittent flushing Emboli More common w/manual intermittent flushing Skin necrosis Prox to radial art insertion site, blood supply to to skin of distal forearm arises directly from branches of rad art. w/o ANY collateral circulation. If cath tip interferes w/these branches then ischemia to skin occurs Prevention: 1) most distal insertion site 2) smallest sized catheter so as to cause the least amt of luminal obstruction 3) prolonged catheterization xxx00.#####.ppt 07/10/12 P.
Brachial artery not recommended due to absence of collateral circulation xxx00.#####.ppt 07/10/12 P.
Palpate artery just prox to radial head Insert needle about 30 degrees to surface of skin Dorsiflex wrist for insertion then place in neutral position Suture 3-0 silk xxx00.#####.ppt 07/10/12 P.
Hyperabducted & externally rotated 90 degrees from pt’s body Insert needle just parallel to lateral edge of pectoralis major muscle xxx00.#####.ppt 07/10/12 P.
Positioned similarly as for CVC 2cm below inguinal ligament 3 fingers along pulse, index/middle/ring finger, insert in between index and middle finger Insert at 45 degree angle Puncture over maximal pulsation xxx00.#####.ppt 07/10/12 P.
mid plantar flexion Occlude DP art blanch toe by Compressing toenail release pressure on nail and observe for flushing rapid return of color indicates adequate collateral flow xxx00.#####.ppt 07/10/12 P.